# 119-hr-5198: Rural Health Clinic Location Modernization Act of 2025

119-hr-5198, Rural Health Clinic Location Modernization Act of 2025, is a 119th Congress bill sponsored by Rep. Mann, Tracey [R-KS-1] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-5198
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5198
- Congress: 119
- Title: Rural Health Clinic Location Modernization Act of 2025
- Status: introduced
- Introduced: 2025-09-08
- Sponsor: Rep. Mann, Tracey [R-KS-1] (R-KS)
- Cosponsors: 28
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Rewrites the Census-based geography that decides where a Medicare Rural Health Clinic can be located.** The bill would replace the current reference to an "urbanized area" with an "urban area (as defined by the Bureau of the Census) with a population of 50,000 or more" for RHC eligibility, effective January 1, 2027. - Rural Health Clinics: Clinics would be re-evaluated under the new Census definition, which could change which sites meet Medicare RHC location rules. - Patients and communities: People in small towns and surrounding areas could see local clinics gain or lose RHC status, which may affect access to Medicare-covered services. - Medicare program: Medicare would apply the new Census geography to RHC qualification beginning Jan 1, 2027, while keeping all other RHC eligibility criteria unchanged.

## Cosponsors (28)

- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-09-08T00:00:00.000Z
- Rep. Zinke, Ryan K. [R-MT-1] (R-MT), 2025-09-08T00:00:00.000Z
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ), 2025-09-08T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-09-08T00:00:00.000Z
- Rep. Fields, Cleo [D-LA-6] (D-LA), 2025-09-08T00:00:00.000Z
- Rep. Mannion, John W. [D-NY-22] (D-NY), 2025-09-08T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-09-08T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2025-09-08T00:00:00.000Z
- Rep. Baird, James R. [R-IN-4] (R-IN), 2025-09-08T00:00:00.000Z
- Rep. Graves, Sam [R-MO-6] (R-MO), 2025-09-08T00:00:00.000Z
- Rep. Valadao, David G. [R-CA-22] (R-CA), 2025-09-08T00:00:00.000Z
- Rep. Pappas, Chris [D-NH-1] (D-NH), 2025-09-08T00:00:00.000Z
- Rep. Boebert, Lauren [R-CO-4] (R-CO), 2025-09-08T00:00:00.000Z
- Rep. Smith, Adrian [R-NE-3] (R-NE), 2025-09-08T00:00:00.000Z
- Rep. Figures, Shomari [D-AL-2] (D-AL), 2025-09-09T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-09-10T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-09-26T00:00:00.000Z
- Del. Moylan, James C. [R-GU-At Large] (R-GU), 2025-10-17T00:00:00.000Z
- Rep. Higgins, Clay [R-LA-3] (R-LA), 2025-10-17T00:00:00.000Z
- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2025-10-31T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2025-12-09T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-12-11T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2025-12-15T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-12-18T00:00:00.000Z
- Rep. Kaptur, Marcy [D-OH-9] (D-OH), 2026-01-07T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2026-04-14T00:00:00.000Z
- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2026-05-11T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2026-08-31T00:00:00.000Z

## Provisions PRIA read

- New location test for Medicare rural clinics: mixed, medium. The bill would update how Medicare decides if a clinic is in a rural place. It would use the Census term "urban area" with a population of 50,000 or more. Some clinics could newly qualify as Rural Health Clinics, and others could lose RHC status. That could change clinic payments and local access t…

## Related bills

- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-2102: Major Richard Star Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-9250: Great American Outdoors Act 250

## Sources
- [119-hr-5198 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5198)

## Related
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-9250: Great American Outdoors Act 250](https://policyrisk.com/legislation/119-hr-9250)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5198 (as of 2026-09-21).